[Home ] [Archive]    
:: Volume 20, Issue 3 (10-2017) ::
Hakim Health Sys Res 2017, 20(3): 156-163 Back to browse issues page
The Impact of Education on Reducing Bill Deductions in a Hospital: A Case Study
Abstract:   (1159 Views)
The Impact of Education on Reducing Bill Deductions in a Hospital: A Case Study
 
Ali Mohammad Mosadeghrad (PhD)1, Mahnaz Afshari (PhD Student)2,3*, Rahman Nasrolahi (BSc)4, Sare Daneshgar (MSc)5, Rasoul Corani Bahador (MSc)6

1 Associate Professor, Health Management and Economics Department, School
of Public Health, Health Information Management Research Center, Tehran
University of Medical Sciences, Tehran, Iran
2 Maragheh University of Medical Sciences, Maragheh, Iran
3 Health Policy, Health Management and Economics Research Center, Iran
University of Medical Sciences, Tehran, Iran
4 Health Management, Tehran University of Medical Science, Tehran, Iran
5 Financial Management, Tehran University of Medical Science, Tehran, Iran
6 Epidemiology, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: Insurance companies do not reimburse all patients’ bills if they find any breach in the agreed contract. Implementing the new hospital tariff increased hospitals’ bill deductions. Reducing bills’ deductions increases hospital income. This study aimed to examine the impact of education on reducing bill deductions in a hospital in Tehran, Iran.

Methods: This descriptive and cross-sectional study was conducted using the data collected from bills issued by the hospital for social security insured patients in the second half of 2013, 2014, and 2015. Necessary education was delivered to the staff on how to reduce deductions. Data was analyzed using the SPSS software.

Results: The average of deductions in the second half of 2013, 2014, and 2015 were respectively 2.9%, 11.1%, and 7.3%. The average of deductions in these 3 years were 315138 (9.1 US$), 1876417 (54 US$), and 1645237 (47.2 US$) Rials per inpatient and 5437 (0.2 US$), 66797 (1.9 US$), and 55803 (1.6 US$) per outpatient. In 2013 most deductions were applied to surgical and clinical laboratory services and in 2014, most deductions were related to radiotherapy and chemotherapy services. Hospital bill deductions increased by 282.8% after applying the new tariff. However, it has decreased by 34.2% after providing the education.

Conclusion: Bill deduction has increased after applying the new tariff. However, informing the hospital staff about the reasons for bill deductions’ and training them accordingly could reduce it significantly.

Keywords: Hospital; Social Security Organization; Deductions; Tariff Book; Education
 
Please cite this article as follows:
Mosadeghrad AM, Afshari M, Nasrolahi R , Daneshgar S, Corani Bahador R. The Impact of Education on Reducing Bill Deductions in a Hospital: A Case Study. Hakim Health Sys Res 2017; 20(3): 156- 163.

*CorrespondingAuthor: Moalem Street, Research Deputy, .Maragheh University of Medical Sciences, Maragheh, Azarbayejan Sharghi, Iran. Tel: +98-9128680624, E-mail: sadaf_af2007@yahoo.com
Keywords: Hospital, Social Security Organization, Deductions, Tariff Book, Education
Full-Text [PDF 369 kb]   (611 Downloads)    
Type of Study: Original | Subject: General
Received: 2018/02/26 | Accepted: 2018/02/26 | Published: 2018/02/26
Add your comments about this article
Your username or Email:

Write the security code in the box >


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

The Impact of Education on Reducing Bill Deductions in a Hospital: A Case Study. Hakim Health Sys Res . 2017; 20 (3) :156-163
URL: http://hakim.hbi.ir/article-1-1785-en.html


Volume 20, Issue 3 (10-2017) Back to browse issues page
فصلنامه پژوهش حکیم Hakim Research Journal
Persian site map - English site map - Created in 0.18 seconds with 29 queries by YEKTAWEB 3701